Active NPI
Diego Armando Juarez Viveros
- Pharmacist
- North Hollywood, CA
National Provider Identifier
1598229692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH72716
- Practice address
- 5652 Vineland Ave Ste 102
North Hollywood, CA 91601-2062 - Phone
- (818) 508-8665
- NPI assigned
- Jan 23, 2019
- Last updated
- Jan 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH72716 | CA | Primary |
Addresses
Primary practice location
5652 Vineland Ave Ste 102
North Hollywood, CA 91601-2062
Mailing address
5712 Cartwright Ave
North Hollywood, CA 91601-2112
Phone (805) 890-7963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH72716 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority Care Pharmacy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Priority Care Pharmacy
- Community/Retail Pharmacy
- Sherman Oaks, CA
- NPI 1225473705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1598229692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5712 CARTWRIGHT AVE",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012112",
"telephone_number": "805-890-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5652 VINELAND AVE STE 102",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012062",
"telephone_number": "818-508-8665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ VIVEROS",
"first_name": "DIEGO",
"middle_name": "ARMANDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH72716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.